Organization
MEDICARE SUPPLIES PLUS
Active
Other names
Advanced Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH DAVID WEINBERG (PRESIDENT/OWNDER)
(516) 295-2092
Entity
Organization
Contact information
Practice address
291 WALLABOUT ST, BROOKLYN, NY 11206-4325
(516) 295-2092
Mailing address
291 WALLABOUT ST, BROOKLYN, NY 11206-4325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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